Fillable 6701 Application Form (Town of Telluride)

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6701 Application Form (Town of Telluride)

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Planning & Development Services
Building Division
455 Mountain Village Blvd.
Mountain Village, CO 81435
Office (970) 728-1392
Fax (970) 728-4342
TELLURIDE PERMIT APPLICATION
Submit Application to: cd@mtnvillage.org
Request Inspections to: inspections@mtnvillage.org
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT:
Revaluation takes place on all permits selected by CBO before certificate of occupancy or a work complete is issued. Permit expires 90 days from the date of last
inspection. Post the permit verification card so it is visible from the street. Please request inspections before covering any work. Redlined plans and permit card
must be on site. I certify I have permission from the property owner to perform the described work. I assume full responsibility for compliance with the Town of
Mountain Village/Telluride adopted ICC and NFPA codes, Community Development Code, Construction Mitigation, and all other applicable ordinances, for work
under this permit. Plans Subject to Field Inspection
Contractor/Owner/Agent: Date:
SIGNATURE
Contractor/Owner/Agent:
PRINT
PROPERTY INFORMATION
Property Address:
Telluride Permit#:
Property Owner:
Phone:
Mailing Address:
Email:
ELECTRICAL
Electrical License#:
Contact:
Phone/Fax:
Email:
PLUMBING
Plumbing License#:
Contact:
Phone/Fax:
Email:
Valuation of Work: $
Full Scope of Work:
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6701 Application Form (Town of Telluride)

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Completed 5 August 2020

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